HEALTHCARE BUSINESS OPERATIONS ANALYST
Company: Conduent
Location: Corona
Posted on: June 18, 2022
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Job Description:
Through our dedicated associates, Conduent delivers
mission-critical services and solutions on behalf of Fortune 100
companies and over 500 governments - creating exceptional outcomes
for our clients and the millions of people who count on them.You
have an opportunity to personally thrive, make a difference and be
part of a culture where individuality is noticed and valued every
day.Join our IQA Team a Business Operations Analyst!?Hybrid
Position - Required to come on site for training.Starting Pay:
$21/hrFlexible ScheduleSummary: An IQ Analysis Associate reviews,
organizes and distributes the daily bill report. The IQA Associate
will organize the report according to department policies and
procedures. The IQA Associate will enter all information on the
daily bill report and once complete, provide it to the negotiations
team. They will also complete negotiations based on a dollar
threshold established in the department policies and procedures.
Essential Duties and Responsibilities Review, organize and
distribute the daily report to the negotiations team. Negotiate
discounts based Policies and Procedures, client direction, state
guidelines and like services. Ability to interpret reviewed claims
and reason codes to determine if the claim is negotiable. Reviews
department policies and procedures regularly. Qualifications: To
perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. An individual must be
proficient in Microsoft applications and have the ability to
research via the internet to obtain fax numbers etc. An individual
must be organized and have the ability to multitask. Must be
willing to take on special projects and new assignments as needed.
Education and/or Experience:High school diploma1 year claims
experienceLanguage Skills:Working knowledge of medical terminology
and related reports. Ability to read and comprehend written
instructions, medical reports, and correspondence from providers
requesting information. Mathematical Skills: Ability to add and
subtract two digit numbers and to multiply and divide with 10's and
100's. Ability to perform these operations using units of American
money and weight measurement, volume, and distance.Reasoning
Ability: Ability to apply common sense understanding to carry out
detailed but uninvolved written or oral instructions. Computer
Skills:Basic understanding of Internet, Windows interface, and
software applications. Other Skills and Abilities:Claim knowledge
of surgery, hospital, physician, DME billsPhysical Demands: The
physical demands described here are representative of those that
must be met by an employee to successfully perform the essential
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
functions.Conduent is an Equal Opportunity Employer and considers
applicants for all positions without regard to race, color, creed,
religion, ancestry, national origin, age, gender identity, gender
expression, sex/gender, marital status, sexual orientation,
physical or mental disability, medical condition, use of a guide
dog or service animal, military/veteran status, citizenship status,
basis of genetic information, or any other group protected by law.
People with disabilities who need a reasonable accommodation to
apply for or compete for employment with Conduent may request such
accommodation(s) by clicking on the following link, completing the
accommodation request form, and submitting the request by using the
"Submit" button at the bottom of the form. For those using Google
Chrome or Mozilla Firefox please download the form first: . You may
also .At Conduent we value the health and safety of our associates,
their families and our community. For US applicants while we DO NOT
require vaccination for most of our jobs, we DO require that you
provide us with your vaccination status, where legally permissible.
Providing this information is a requirement of your employment at
Conduent.
Keywords: Conduent, Corona , HEALTHCARE BUSINESS OPERATIONS ANALYST, Healthcare , Corona, California
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